The inspection, which took place between March and May 2015, looked closely at the arrangements for commissioning and contracting domiciliary care by Powys County Council.
- The arrangements for commissioning social care need to be clarified and strengthened, while the approach to commissioning services should also make greater use of service user and carer experiences and facilitate a wider conversation about what future service models might look like.
- The Council needs to strengthen its relationships with and oversight of domiciliary care providers operating in Powys, including setting up regular meetings and clear lines of communication with the commissioning managers to address ongoing concerns and queries.
- The Council should develop a more integrated approach to services for older people with Powys Teaching Health Board. The future integrated service model must be supported by clear governance arrangements that include financial commitments and management accountability. Opportunities to build workforce capacity such as care apprenticeships should be considered, as well as potential barriers such as housing and transport.
- The new adult safeguarding management structures and reporting mechanisms must be secured and established as a priority, to ensure that the Designated Lead Managers are supported in their responsibilities and there is consistent reporting, decision making and oversight at an appropriately senior level.
- The low uptake of carer assessments needs to be further investigated to understand the needs of this group of people and how they can be supported in their role.
Reference to ‘Care and Social Services Inspectorate Wales’ (CSSIW) in the documents on this page should be read as ‘Care Inspectorate Wales'.